# CHINO HILLS PODIATRY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689736944
- **Authorized official:** MS. VANESSA MARIE-LOUISE TAYLOR DPM (OWNER)
- **Authorized official phone:** (909) 287-0677

## Contact information

- **Practice address:** 15944 LOS SERRANOS COUNTRY CLUB DR STE 130, CHINO HILLS, CA 91709-3254
- **Practice address phone:** (909) 287-0677
- **Practice address fax:** (909) 631-2919
- **Mailing address:** 15944 LOS SERRANOS COUNTRY CLUB DR STE 130, CHINO HILLS, CA 91709-3254
- **Mailing address phone:** (909) 287-0677
- **Mailing address fax:** (909) 631-2919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4258 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 04/11/2012